DR. THERESA L SHANNON DDS
NPI 1114111671
Dentist - General Practice in Falls Church, VA

Q: What is Theresa Shannon's NPI number?

The NPI number for Theresa Shannon is 1114111671. It was assigned to this individual provider in the NPPES registry on August 28, 2007.

Q: What is Theresa Shannon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Theresa Shannon was last updated on August 28, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 28, 2007

5205 LEESBURG PIKE, STE 101 JACK C PHASS JR DDS INC, FALLS CHURCH, VA 22041(703) 824-0055(703) 998-9859 Get Directions Write a Review

NPPES record last updated: August 28, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Theresa L Shannon Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. THERESA L SHANNON DDS (NPI 1114111671) is an individual general practice provider in Falls Church, Virginia, licensed in Virginia (0401008644) and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1114111671

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. THERESA L SHANNONCredential: DDS

Location Address5205 LEESBURG PIKE, STE 101 JACK C PHASS JR DDS INCFalls Church, VA 22041-3802

Mailing Address5205 Leesburg Pike, Ste 101 Jack C Phass Jr Dds IncFalls Church, VA 22041-3802 · (703) 824-0055 · Fax (703) 998-9859

Phone(703) 824-0055

Fax(703) 998-9859

Sole ProprietorNo

Enumeration DateAugust 28, 2007

✔ NPI 1114111671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in VA · 0401008644

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

5205 LEESBURG PIKE, Falls Church, VA 22041

Open in Google Maps ↗

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DEAN J PHASS DDS

Dentist (General Practice)

5205 LEESBURG PIKE, SUITE 101
FALLS CHURCH, VA 22041

Fairfax County (703) 824-0055

ANITA KIANIMANESH D.M.D, INC

Dentist

5205 LEESBURG PIKE, SUITE 1406
FALLS CHURCH, VA 22041

Fairfax County (703) 998-4244

JACK C PHASS JR DDS INC

Dentist (General Practice)

5205 LEESBURG PIKE, SUITE 101
FALLS CHURCH, VA 22041

Fairfax County (703) 824-0055

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theresa Shannon's NPI number?

The NPI number for Theresa Shannon is 1114111671. It was assigned to this individual provider in the NPPES registry on August 28, 2007.

Where is Theresa Shannon located?

Theresa Shannon practices at 5205 Leesburg Pike Ste 101 Jack C Phass Jr Dds Inc, Falls Church, VA 22041. The listed phone number is (703) 824-0055.

What is Theresa Shannon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Theresa Shannon was last updated on August 28, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.